14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Waynesville, MO
2-star overall rating with 3-star inspections with $22,081 in total fines with 14 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
700 Birch Lane, Waynesville, MO
(573) 774-6456
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
81
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1989-06-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.37
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.92
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.31
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.84
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
3.69
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
8,840
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9838
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.31
Baseline 22.43% · Performance 20.37% · Measure score 3.31 · Achievement 2.29 · Improvement 3.31
Healthcare-associated infections
0
Baseline 6.23% · Performance 8.90% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.81
Baseline 43.48% · Performance 48.10% · Measure score 3.81 · Achievement 3.81 · Improvement 0
Adjusted total nurse staffing
3.08
Baseline 3.86 hours · Performance 3.95 hours · Measure score 3.08 · Achievement 3.08 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.05% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 101 · Observed rate 12.87% · Lower 95% interval 7.7% |
| Discharge to community | 45.88% |
50.57%
4.7 pts worse
|
No Different than the National Rate · Eligible stays 99 · Observed rate 38.38% · Lower 95% interval 37.82% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 94 · Denominator 94 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 94 |
| Discharge self-care score | 69.57% |
53.69%
15.9 pts better
|
Numerator 32 · Denominator 46 |
| Discharge mobility score | 71.74% |
50.94%
20.8 pts better
|
Numerator 33 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 2.13% |
2.29%
0.2 pts better
|
Numerator 2 · Denominator 94 · Adjusted rate 2.39% |
| Healthcare-associated infections requiring hospitalization | 8.9% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 13.56% · Lower 95% interval 4.89% |
| Staff COVID-19 vaccination coverage | 0.96% |
8.2%
7.2 pts worse
|
Numerator 2 · Denominator 208 |
| Staff flu vaccination coverage | 18.26% |
42%
23.7 pts worse
|
Numerator 21 · Denominator 115 |
| Discharge function score | 84.78% |
56.45%
28.3 pts better
|
Numerator 39 · Denominator 46 |
| Transfer of health information to provider | 0% |
95.95%
96 pts worse
|
Numerator 0 · Denominator 36 |
| Transfer of health information to patient | 25% |
96.28%
71.3 pts worse
|
Numerator 9 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 45 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.1
0.9 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.3
0.2 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.0 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 64.6% |
84.8%
20.2 pts worse
|
93.4%
28.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 75.4% · Q2 69.1% · Q3 60.6% · Q4 54.4% · 4Q avg 64.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.5% |
90.9%
3.4 pts worse
|
95.5%
8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
4.1%
1.1 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 4.4% · Q3 1.4% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.6% |
14.7%
6.1 pts better
|
11.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 6.9% · Q3 10.2% · Q4 7.9% · 4Q avg 8.6% |
| Percentage of long-stay residents who lose too much weight | 1.4% |
5.5%
4.1 pts better
|
5.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 0.0% · Q4 1.9% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.4% |
25.3%
8.9 pts better
|
19.6%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 20.3% · Q3 14.0% · Q4 12.5% · 4Q avg 16.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.9% |
25.0%
17.1 pts better
|
16.7%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 4.9% · Q3 10.6% · Q4 8.7% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.7% |
20.3%
17.6 pts better
|
16.3%
13.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · Q4 6.1% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.5% |
19.8%
14.3 pts better
|
14.9%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 5.3% · Q3 1.8% · Q4 7.3% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
1.4%
0.2 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 1.2% · Q3 1.1% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
2.6%
1.8 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.6% |
18.1%
9.5 pts worse
|
19.8%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 35.5% · Q3 18.4% · Q4 32.3% · 4Q avg 27.6% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
5.0%
2.5 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 4.8% · Q3 11.4% · Q4 6.4% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 22.6% |
66.4%
43.8 pts worse
|
81.7%
59.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 29.7% · Q2 32.3% · Q3 10.5% · Q4 19.2% · 4Q avg 22.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% |
13.4%
2.6 pts worse
|
12.0%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 15.9% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
2.2%
0.3 pts better
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.2% · Q3 1.6% · Q4 1.8% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 26.5% |
63.5%
37 pts worse
|
79.7%
53.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 26.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.6% |
25.3%
5.3 pts worse
|
23.9%
6.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.6% · Observed 30.4% · Expected 23.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Rights (5 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-04-22
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-04-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-22
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-04-22
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-03-15
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-03-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-12-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-12-28
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-12-28
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-12-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-28
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2022-12-28
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-12-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-28
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-12-28
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-12-28
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-12-28
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-01-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-22
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-04-22
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-04-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-22
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-22
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-04-22
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-04-22
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-22
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-04-22
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-04-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-29
Health
Respond appropriately to all alleged violations.
Corrected 2024-04-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-03-15
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2024-03-15
Health
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2024-03-15
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-03-15
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-03-15
Health
Provide activities to meet all resident's needs.
Corrected 2024-03-15
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-03-15
Health
Provide activities to meet all resident's needs.
Corrected 2022-12-28
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2022-12-28
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-28
Penalties and ownership
Fine · fine $22,081
Fine
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
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4-star overall rating with 4-star inspections with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Rolla, MO
5-star overall rating with 5-star inspections
Lebanon, MO
1-star overall rating with 1-star inspections with $50,907 in total fines with 19 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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